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Reply to discussion: 250-275 with scholarly sources (2) APA format There are multiple factors that make us all unique from one another, our family, where we come from, and what our beliefs are, this all makes up our unique identity that may bring us closer together or divide us (Miller, 2010). Today more than ever in the past the world has become more and more globalized which presents issues for institutions that don’t recognize the importance of cultural competence in healthcare and health related research (Miller, 2010). A culturally competent healthcare provider can tend to and meet the cultural, social, and linguistic needs and requirements of all of the patients they manage, care for, and treat (Miller, 2010). Having respect for their own culture and another’s culture is particularly important in providing culturally competent care. When providers respect and honor their patients’ culture, beliefs, customs, values, language, and traditions their patients will be more likely than not to communicate more easily and honest with their healthcare provider (Miller, 2010). This free flowing and easy communication between provider and patient can ultimately have a huge impact. When patients trust their providers to respect their culture it allows for decreased discrepancies in communication which allows for the improvement of their overall quality and quantity of the healthcare, they are able to provide which will improve their patients’ overall outcomes at many levels (Miller, 2010). The understanding of your own culture should never be out shadowed, denying your own differences as a provider can be detrimental if not considered early on. Successful organizations are able to provide some form of cultural training, but nothing is more important than the individual effort of each healthcare provider, the information that is gained through daily conversations and interactions with patients during examinations and procedures, these facts should not be stored away with just that one individual, the information should be shared amongst their peers to allow for the spread of knowledge to strengthen their team concept of cultural understanding of the community they treat (Miller, 2010). Negative Effects for Lack of Culture When organizations and healthcare providers fail to consider culture as an important piece in their everyday practice they ultimately begin to exclude individuals, both patients and staff from multiple cultures that are not their own from their group, even if they are the same race, gender, and share the same thoughts (Van Knippenberg, 2007). The exclude staff and patients may start to feel a little resentment, initially withdraw and form their own group(s) and start to develop a negative self-image and a general lack of confidence in oneself and in the groups that excluded them. If staff and patients in an organization feel isolated, mistreated, and misunderstood, it can and will cause an extreme loss in faith in the organizat.

Education

patients during examinations and procedures, these facts should
not be stored away with just that one individual, the information
should be shared amongst their peers to allow for the spread of
knowledge to strengthen their team concept of cultural
understanding of the community they treat (Miller, 2010).
Negative Effects for Lack of Culture
When organizations and healthcare providers fail to consider
culture as an important piece in their everyday practice they
ultimately begin to exclude individuals, both patients and staff
from multiple cultures that are not their own from their group,
even if they are the same race, gender, and share the same
thoughts (Van Knippenberg, 2007). The exclude staff and
patients may start to feel a little resentment, initially withdraw
and form their own group(s) and start to develop a negative
self-image and a general lack of confidence in oneself and in
the groups that excluded them. If staff and patients in an
organization feel isolated, mistreated, and misunderstood, it can
and will cause an extreme loss in faith in the organization and
healthcare providers and will cause future failures which will
have a result on any future success (Van Knippenberg, 2007).
Healthcare organizations that do not place culture as a top
priority do not gain their patients trust and those patients will
seek an organization that will consider their culture. Without
patients an organization is nothing but a big beautiful structure
that provides no one a service and will soon end without anyone
to serve.
References:
Miller, Bonnie & Moore, Jr, Donald & Stead, William & Balser,
Jeff. (2010). Beyond Flexner: A New Model for Continuous
Learning in the Health Professions. Academic Medicine: Journal
of the Association of American Medical Colleges, 85, 266-72.
10.1097/ACM.0b013e3181c859fb.

Van Knippenberg, D., & Schippers, M. C. (2007). Work group
diversity. Annu. Rev. Psychol., 58, 515-541

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Discussion 1 In today’s society, certain types of cultural barriers in healthcare have the power to negatively impact outcomes and can lead to expensive consequences for health systems. Cultural competency refers to the ability to interact with people across cultures. When used in healthcare, it focuses on being able to care for patients with diverse values, beliefs, and behaviors. Today, the delivery of healthcare needs to be tailored to patients’ social, cultural and linguistic needs. According to the health care service company Cigna, cultural competency in healthcare can overcome health disparities. Some of these disparities include language barriers, cultural beliefs and practices, medical bias, variations in care access and quality, and low health literacy (Husson University, 2019). The Purnell Model of Clinical Competence is a mid-range theory that is used for the research examining culture and within the context of culture and values. This theory was created by Larry Purnell and it was developed based on his observations of undergraduate nursing students and how they would interact with patients that are from different cultural backgrounds. In the United States, culturally competency is a key area for nurses and advanced practitioners (Marzilli, 2017). Having the ability to communicate effectively with patients and their families is key for good patient care. The importance of communicating effectively in cross-cultural encounters is necessary. Cultural competence includes providing effective health care across diverse cultures by working collaboratively and communicating effectively. Advanced practice nurses and physicians who are aware of their own and their patients’ cultural backgrounds, along with the values that are often implicit in current medical models, are better able to achieve mutual understanding within the patient encounter and to focus on culturally appropriate health care interventions (Ladha et al., 2018) With the Purnell Model, all aspects and domains of this model work by affecting one another, rather than standing alone. With this model there are specific cultural domains that include, heritage, communication, family roles and organization, workforce issues, bicultural ecology, high risk behaviors, nutrition, childbearing, death rituals, spirituality, health care practices and the healthcare practitioner (National Association for School Nurses, 2019). As nurse practitioners, understanding the impact that cultural competence and interaction with your patients are key in quality patient care and trust. Cultural competency is relevant to healthcare education due to the fact that minorities will constitute 54% of the total United States population by 2050. The Purnell Model helps by evaluating the impact of interventions such as service learning and the change on cultural competence following the specific intervention. Research involving the Purnell Model is used as the theoretical framework for determining the h.

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Running head: CULTURAL SENSITVITY1 CULTURAL SENSITVITY2 Cultural Sensitivity Name Institution Cultural Sensitivity Introduction Cultural sensitivity refers to the awareness as well as the sensitivity to culture and other practices. Cultural sensitivity can encompass examining different cultures and how they should be accurately approached in the health care. It also includes how to communicate according to within the health care setting. Cultural sensitivity is important area because it can impact the way people work in the health care facilities. It also encompasses valuing differences so as harassment and discrimination, either intended or not, do not happen. Culture is a fundamental and complex concept with consist of broad aspects of people in the health care setting (Campinha-Bacote, 2003). It includes the concepts of sexual orientation, gender, faith, age, disability, race, ethnicity, profession and socioeconomic status. Cultural sensitivity stems from this understanding in that; it is must encompass interpersonal skill as well as the knowledge that will allow the providers of health care, appreciate, understand, and work with individuals from different cultures other than theirs. It also consists of acceptance and awareness of the people’s cultural differences, knowledge, self-awareness of the cultures of the patient and adapting to the skills. Many cultural groups, including lesbian and gay people, individuals with disabilities, lower socio-economic groups and ethnic minorities, for example, African-Americans (Campinha-Bacote, 2003). Cultural sensitivity is considered one of the reasons peoples do not access quality health care services because people are not aware as well as understand the effects attached to one’s culture and how it may be perceived by others. An individual's culture should not appear to be dominant in the place of work. Healthcare Disparities and How they Relate to Cultural Sensitivity in the Healthcare Setting Health care disparities, by definition, refer to the differences in health as well as healthcare between population groups. It typically involves a higher burden of illness, mortality experienced in the health care setting, disabilities, and injury by one population group about another. Moreover, it refers to the differences between groups in the health care facilities regarding provision of care services, its access, and quality given. This issue are related to the people’s cultural sensitivity in that the issue surrounds this concept are based on socioeconomic status, gender, sexual orientation, age, and disability status. Similarly, cultural insensitivity arises from disparities that in return causes care limit as well as continued improvement in overall quality of cares (Campinha-Bacote, 2003). Health care disparities can be exacerbated by looking at some things that comprise specific health conditions, provider biases, differences in access to care, poor patient-provider comm ...

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2 Complete Assignment Student’s Name Institutional Affiliation Professor’s Name Course Name Due Date This research problem meets the litmus test because it is researchable and has not yet been studied comprehensively. It is an essential issue with potential implications for policy and justice. The research gap in this topic is that no existing research looks explicitly into the psychological effects of the death penalty in Texas. To better reveal this gap, further research can be conducted better to understand the psychological impacts of the death penalty. This research could include qualitative interviews with those affected by the death penalty in Texas, such as family members of those on death row, legal professionals, and mental health professionals (Paul & Criado, 2020). In order to expertly respond to the qualitative checklist for Chapters 1 through 3, I will need to master a range of skills and subject matter areas. Most importantly, I will need to understand the research topic in depth, including the relevant literature, current debates, and potential implications. Additionally, I will need to become proficient in qualitative methods, such as conducting interviews, analyzing data, and writing results. Furthermore, I will need to thoroughly understand the research process, including creating a research question, developing a research design, and presenting the results (Paul & Criado, 2020). To build upon the research conducted thus far, a research question I could develop throughout the rest of this course is: What are the psychological effects of the death penalty in Texas on those affected by it? This question could be explored through qualitative interviews with those affected by the death penalty in Texas. This could include the family members of those on death row, legal and mental health professionals. Through these interviews, I could gain insight into the psychological effects of the death penalty in Texas and how it has impacted those involved. This research could help inform better policies and practices related to the death penalty in Texas (Paul & Criado, 2020). References Paul, J., & Criado, A. R. (2020). The art of writing literature review: What do we know and what do we need to know?. International Business Review, 29(4), 101717. PEER RESPONSES FOR Patient Outcomes and Sustainable Change Assessment Description Reflecting on the "IHI Module TA 102: Improving Health Equity," describe two causes of health disparities in the United States, or in your local community, that lead to health inequity. What ethical issues inhibit access and quality for care for these issues? Outline an initiative, integrating your faith and ethical principles surrounding practice, to reduce these health inequities and sustain the change within the health care system. Veronica Montemayor Orji & Yamashita (2021) noted that greater cancer-related mortality rates among racial or ethnic minority women .

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Sodexo was honored to be a featured presenter at the 2nd Annual Atlantic Center for Population Health Sciences Empowering Adaptable Communities Summit. The Summit was held on October 21 and 22, 2015, in Morristown, New Jersey, at the College of Saint Elizabeth. The event was devoted to providing new insights, information, inspiration, and personal connections in our united efforts to empower communities to be more adaptable.

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Cultural diversity is becoming increasingly more important in the workplace. This is particularly true in health care organizations facing demographic shifts in the patients served and their families. This study serves to aid the development of intercultural communication training programs for health care providers by examining how cultural sensitivity and effective intercultural communication, besides helping patients, personally benefit health care providers by reducing their stress. Effective intercultural communication and cultural sensitivity were found to be related. Health care providers’ levels of intercultural anxiety also were found to correlate with effective intercultural communication.

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This is an opportunity to learn about families by interviewing one. You will not be doing family therapy. You will simply be assuming the role of an interested interviewer of a non-clinical family (i.e. family that is not in therapy) as you learn about the culture -- of a non-help-seeking family. Select a family that you are not personally connected to (e.g. choose a family that a friend or classmate knows, current neighbors or a family in your hometown you are not too familiar with). Selection of families may vary in terms of family forms and structures (i.e. two-parent, single parent, teen parent, multigenerational homes, blended/remarried families, gay/lesbian/transgendered parents, adoptive or foster family, ethnically/racially diverse or mixed families, etc.) reflective of today’s diversity and composition of families. You will gain more from this experience by having all immediate family members present (a minimum of 2 family members that you can speak with during your interview is expected). After you interview the family you will write 4-5 page (double-spaced) paper that describes: (1) How you ended up selecting the family, (2) The composition of family you interviewed (keep identities confidential), (3) Some highlights of the interview, (4) Sample questions you asked along with family’s responses, (5) Based on the family’s reminiscing and how they co-constructed their shared past through storytelling, describe this family’s narrative or story (i.e. If you were to tell their story, what would that sound like?). (6) What this experience was like for you (ideas, thoughts, reactions, etc.), and (7) Anything else that was relevant (e.g. how this might contribute to your professional development, what this experience was like for the family, etc.). EVALUATION CRITERIA: The Family Narrative Interview will be evaluated based on the completion of the assignment- Be prepared to share some information about your experiences on a discussion post. Darline In recent times, reliable sources indicate that a glaring number of LGBTQ patients have been subjected to stigma and discrimination in the health care system. They have been unfairly treated, which has been mainly due to a lack of awareness by physicians and other providers who treat them. In response to this, the health system, especially nurses, should be held liable and accountable to take certain political actions to curb this problem and guarantee an egalitarian system that equally provides efficacy in results (Brown et al., 2020). For instance, the nurses can jointly participate in campaign groups and demonstrations that are meant to fight for LGBTQ rights and equality. At times, demonstrations are the only way the government can pay attention to something, and the physical presence of nurses would be pivotal in ushering in new policies that represent the LGBTQ community. Nurses are at the center of the health care system, especially due to their direct contact with patients. This, in t ...

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Running Head: TEACHING PLAN 2 TEACHING PLAN 2 High-Level Teaching Plan for A Diverse Learning Environment Student’s Name Course Code Institution Affiliation Date A Patient Educator in A Hospital Introduction Nursing is not all about giving medications or treating patients. It is the responsibility of the nurses to educate patients on how to prevent illnesses and how to manage certain medical conditions. Nurses can do these by interacting and communicating with patients. By doing this, they will help patients understand how to take control of their health care. When patients take part in their health care, they are likely to change their behaviors and do things that are likely to improve their general health. My role and the environment I will utilize for teaching According to Burke and Mancuso (2012), learning is very important in any nursing environment. Effective education of patients happens from the time they are admitted at the hospital and goes on until the patients are discharged from the hospital. For out-patients, I will educate them during their waiting time. As a nurse I will take every opportunity I will come across during the patients’ visit to the hospital and throughout their admission in the hospital to educate them about their health care. I will provide patients with instructions to follow on self-care and how to maintain certain problems. Some of the self-care instructions include; · How to follow the steps of self-care · How to know early signs of certain illnesses · How to go about emergency problems · Who to contact in case of problems The intended audience I will educate people of all populations in my education program regardless of their age, culture, illness, ethnicity, and gender. General education will be provided to all patients on how to take care of themselves when they leave the hospital. This important because sometimes patients go home, neglect themselves, resume their unhealthy practices, and forget to manage their medical conditions. For patients suffering from diabetes, I will educate and provide them with instructions on how to inject themselves with insulin. For new mothers, they will learn how to take care of their new born babies and how to bath the infants. I will provide instructions on how to change a colostomy pouching system for the concerned patients. The Social Cognitive Learning Theory Key points of the theory This theory concentrates on the impacts of social factors on a person’s thinking, perception and motivation. According to the social cognition theory, a patient must have different perspectives, approaches, and reactions to situations in the health care environment. The players in the health care setting would be expected to have different perceptions, interpretations, and responses to a situation that are strongly colored by their social and cultural experiences (Braungart, Braungart, & Gramet, 2008). Why this theory fits the topic, audience, and the context The ...

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Running head: SAFETY OF ELDERLY PATIENTS IN HOME HEALTH CARE 1 SAFETY OF ELDERLY PATIENTS 3 Safety of Elderly Patients and Quality of Service in Home Health Care January 16, 2016 Safety of Elderly Patients and Quality of Service in Home Health Care Health care services offered to the elderly and frail patients face numerous challenges whose issues pose a perpetual challenge to planners of health care services. With the steady pressure imposed on resources, it is apparent that subgroups are more defined but the interventions are less targeted in assuring the most possible benefit to the patients as consumers of the health care services. The safety of elderly patients and quality of service in home health care has unfortunately lacked the appreciation of how diverse the older population is getting in terms of the diversity of their health , cultural background, the functional ability, the changing personal preferences, limitations in resources, and the changing priorities of the clients (Szantonet al., 2015). This calls for more attention to the factors that would create meaningful needs and preferences of this group of adult patients. Designing of programs should be tailored to capture interventions that would address the issues in the safety of elderly patients and quality of the services offered in homes. Nature and Extent of the Issue/Problem Given the current situation in the handling of the home-based healthcare services to the older adults, the frail patients risk negative outcomes for the health services. The elderly population forms a very significant group consuming health resources in the acute care units as well as in community settings. The formal systems used in handling the frail old patients from homes and the families directly involved in the care have not been aligned to address the apparent technical and ethical issues in the service provision. In reviews of health care issues touching, the frail older adults have sought to address the effects of the delicate situation facing the future of home-based health care. In essence, the future challenges facing the care plan lack the creative solutions in the testing and exploration of the suggestions made concerning future priorities of home nursing and care (Siabani, 2015). In planning for providing home care for the elderly, some of the most significant issues that have been lacking include: planning of the various services offered, allocation of support service resources, and aligning the cultural competence during delivery of services. People Affected by the Issue/Problem Target Population The old adult population group of patients has characteristic features distinguishing it. They are individuals with diverse preferences, unique care needs, and wide trajectories of health. This population is part of the three generations that constitute a family, in which most are over 65 years of age. This case considers centenarian community, in which chances are that an 84.

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Rosie Jean Louis: Discussion 7 COLLAPSE Top of Form Community Nursing Practice Model The prevalence of illness among poor urban and rural populations increase the demand for critical care services. However, there is a shortage for physicians who can take up responsibilities in the community health sector. Among the efforts in place to strengthen the human resource is the growing interest to have nurses in advance practices participate inpatient care at the community health level. By applying the community, nursing practice model advanced practice nurses are better prepared to deliver care and outcomes to patients in poor communities. The Community Nursing Practice Model The community nursing model plays an essential role in ensuring that less privileged communities can access better healthcare by providing a framework for community nurses to focus on entire populations that have similar health concerns or characteristics. For example, a society where there are reproductive health issues, nurses applying this model in such a community will be able to know what the needs of the community are as far as reproductive health is concerned (Maclaine, 2014). The model considers all levels of prevention, which include primary prevention whereby the advanced practice nurses promote health and protect against threats to health in the community. For example, carrying out awareness in the community on sexually transmitted diseases and distributing latex condoms in the community (Maclaine, 2014). Another level of prevention is secondary prevention, which involves the community nurses’ practitioners detecting and treating problems at the early stage of detection so that the health problem does not cause serious problems or affect others. The last level of prevention involves the community nurse practitioner preventing existing problems from getting worse. The MSN Essential Clinical prevention and population health are one of the MSN essential that is relevant to the community nursing practice. The underlying notion of this MSN essential is recognizing that masters prepared nurse applies and integrates a good organizational, patient-centered and culturally appropriate idea in planning to deliver and managing of clinical prevention and community care services to individuals and families (AACN, 2011). Under this essential, it is well elaborated that a master’s degree level nurse should be able to synthesize broad social determinants of health and data from epidemiology to design and deliver clinical interventions to the communities in need while using relevant strategies. In summary,the model has transcended values of respect, care, and wellness, which are essential in primary health care. The CNP and MSN essential provide a framework for nurses who want to practice in the community health sector and especially for advanced care nurses. The model depicts community health nursing practitioners as an essential part of an interdisciplinary team that includes phys ...

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healdkathaleen

Reply to discussion in 250-275 works, APA format with scholarly citation Before this course started, I did not think that the patients culture was important to consider in the health field. I just assumed that people of all ethnicities and heritages could just waltz into a hospital, receive treatment, and everything would be fine. But since I started this course, I have come to realize that it is important to know and understand the different cultures of your patients to be an effective healthcare provider. People of different cultures will tend to have different values, beliefs and religious practices that could impact communication (Purnell, 2005). If a healthcare provider doesn’t understand the social norms of their patient, they may end up doing things unintentionally that disrespect them or make the patient feel uncomfortable (Zimmerman & Osborne-Harrison, 2016). This could make the patient less likely to take the providers advice and impact their recovery process (Zimmerman & Osborne-Harrison, 2016). Or their values or religious practices could make them reject or request certain healthcare treatments that the provider wouldn’t have even considered (Zimmerman & Osborne-Harrison, 2016). Furthermore, different cultures can have different hereditary traits that make them more susceptible to diseases or might reduce their acceptance of certain drugs (Purnell, 2005). It is for these reasons, that a healthcare provider should be culturally aware and know how to research specific facts about another culture to better understand their patients (Suh, 2004). Cultural awareness will reduce the possibility of a healthcare provider making a mistake that would impact their patients recovery (Zimmerman & Osborne-Harrison, 2016). It will allow them to better connect with their patient and make them feel more comfortable (Zimmerman & Osborne-Harrison, 2016). Otherwise, the patient will be uncomfortable receiving treatment and may reject it in the future. References Purnell, L. (2005). The Purnell model for cultural competence [Electronic version]. Journal of Multicultural Nursing & Health, 11(2), 7-15. Suh, E. E. MSN, RN. (2004). The model of cultural competence through an evolutionary concept analysis. Journal of Transcultural Nursing, 15(2). 93-102. Zimmerman, D. L., & Osborn-Harrison, D. G. (Eds.). (2016). Person-focused health care management: A foundational guide for health care managers. New York, NY: Springer Publishing Company. ...

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Rene CaraoylQuestions to be answeredWhat is the main .docx

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Renal Failure Patient Profile: J.M. is a 37-year-old woman transferred to a large medical center from a small rural hospital for further evaluation of lower abdominal pain, nausea, vomiting, and progressive deterioration of urinary output. Subjective Data: -Long history of ETOH Abuse with a drinking binge two days ago -Arthritis with heavy use of ibuprofen -HTN for three years, treated with hydrochlorothiazide and a calcium channel blocker -Borderline NIDDM for three years, does not want to take medications and has been trying to lose weight and “watch her sugar intake.” Objective Data: B/P: 160/110 K: 6.3 mEq/L Urinary output: <15ml/hr Na: 149 mEq/L Lethargic Hgb A1C: 9.2% Creatinine: 9.6 mg/dL BUN: 121 mg/dL CRITICAL THINKING QUESTIONS… 1. Address how the various factors in her past medical history could have contributed to her present renal problem. 2. Is her acute renal failure likely to be prerenal, intrarenal, postrenal, or a combination? Why? 3. Discuss each of the laboratory values and how they reflect the pathophysiology that occurs in renal failure. What is the significance of her Hgb A1C level? 4. What are the specific priorities of treatment for J.M.? 5. Explain the types of dialysis available, their indications, and their advantages/ disadvantages. What type of dialysis will most likely be used for J.M? 6. After two weeks of intensive support and dialysis, J.M’s urinary output returns. Explain the diuretic phase of recovery in Acute Renal Failure, and what complications can occur. 7. Do you think she needs intervention for her diabetes? What guidelines did you consult? How would you start in treating a patient with newly diagnosed Type 2 diabetes? Which medication(s) might you want to start first? What patient education issues would you emphasize in the initial period? .

Renal FailurePatient ProfileJ.M. is a 37-year-old woman.docx

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Renewable and Waste to Energy (ENVR 0016)-Spring -2020 -CW (Assignment 1) – Session A & B– QP MEC_AMO_TEM_034_01 Page 1 of 8 Instructions to Student  Answer all questions.  Deadline of submission: 03/06/2020 23:59  The marks received on the assignment will be scaled down to the actual weightage of the assignment which is 50 marks  Formative feedback on the complete assignment draft will be provided if the draft is submitted at least 10 days before the final submission date.  Feedback after final evaluation will be provided by 12/05/2020 Module Learning Outcomes The following LOs are achieved by the student by completing the assignment successfully 1) Discuss the relationship between resources, energy generation and use 2) Explain the fundamental limitations of energy conversion Assignment Objective The module reviews and evaluates traditional methods of energy production and renewable energy technologies. Fundamental theories are presented from a physical science perspective. The application of these principles is then evaluated through the use of applied examples and case studies. Assignment Tasks Each student is requested choose any two forms of energy energy (solar, wind, tidal, wave, geothermal, and biomass) discuss the relationship between resources, energy generation and use 2. Critically evaluate the potential and limitations of the application of those energy conversion in Oman Introduction ( 200 words ) The introduction is very important as it sets the context for the report. Summarize the brief, briefly outline the case and focus on its significance (problem statement), state the report's aim (objective), and describe how the report is organized. It is not usual to detail findings or recommendations in the introduction. ` IN SEMESTER INDIVIDUAL ASSIGNMENT Module Code: ENVR 0016 Module Name: Renewable and Waste to Energy Level: 3 Max. Marks: 100 Renewable and Waste to Energy (ENVR 0016)-Spring -2020 -CW (Assignment 1) – Session A & B– QP MEC_AMO_TEM_034_01 Page 2 of 8 2. Case study/Evaluation of the case (report body) ( 600- 800 words ) The previous sections (abstract & introduction) are preliminary sections. Case study's body section is organized as follows: Headings should be informative and descriptive providing a clue to the contents of the section.  Describe the context of the case. Present the central issue you will be analyzing, what decisions have already been made or changes needed.  Justify your renewable energy resources selection, and discuss how you select the renewable energy technologies; support you selection with solid evidence such as outside research, interview, etc. Through online only  Present summaries of your findings, and what is acceptable/not acceptable as a solution with justification. 3. Conclusions ( 100 words ) Every report should include .

Renewable and Waste to Energy (ENVR 0016)-Spring -2020 -CW (As.docx

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Rene Descartes. The Philosophical Works of Descartes. Translated by Elizabeth S. Haldane and G. Ross. Cambridge University Press (Cambridge, 1911) ----------------------------------------------- Meditations on the First Philosophy (1641) Meditation II� Of the Nature of the Human Mind; and that it is more easily known than the Body. The Meditation of yesterday filled my mind with so many doubts that it is no longer in my power to forget them.� And yet I do not see in what manner I can resolve them; and, just as if I had all of a sudden fallen into very deep water, I am so disconcerted that I can neither make certain of setting my feet on the bottom, nor can I swim and so support myself on the surface.� I shall nevertheless make an effort and follow anew the same path as that on which I yesterday entered, i.e. I shall proceed by setting aside all that in which the least doubt could be supposed to exist, just as if I had discovered that it was absolutely false; and I shall ever follow in this road until I have met with something which is certain, or at least, if I can do nothing else, until I have learned for certain that there is nothing in the world that is certain.� Archimedes, in order that he might draw the terrestrial globe out of its place, and transport it elsewhere, demanded only that one point should be fixed and immoveable; in the same way I shall have the right to conceive high hopes if I am happy enough to discover one thing only which is certain and indubitable. �I suppose, then, that all the things that I see are false; I persuade myself that nothing has ever existed of all that my fallacious memory represents to me.� I consider that I possess no senses; I imagine that body, figure, extension, movement and place are but the fictions of my mind.� What, then, can be esteemed as true?� Perhaps nothing at all, unless that there is nothing in the world that is certain. �But how can I know there is not something different from those things that I have just considered, of which one cannot have the slightest doubt?� Is there not some God, or some other being by whatever name we call it, who puts these reflections into my mind? That is not necessary, for is it not possible that I am capable of producing them myself?� I myself, am I not at least something?� But I have already denied that I had senses and body.� Yet I hesitate, for what follows from that?� Am I so dependent on body and senses that I cannot exist without these?� But I was persuaded that there was nothing in all the world, that there was no heaven, no earth, that there were no minds, nor any bodies:� was I not then likewise persuaded that I did not exist? Not at all; of a surety I myself did exist since I persuaded myself of something [or merely because I thought of something].� But there is some deceiver or other, very powerful and very cunning, who ever employs his ingenuity in deceiving me.� Then without doubt I exist also if he deceives me, and let him deceive me as much a.

Rene Descartes. The Philosophical Works of Descartes. Translat.docx

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Renaissance Madrigals Step 1 Click on this link (Links to an external site.) to be taken to a website about Renaissance music. Read about motets and madrigals, and the differences between them. Also, read about homophonic and polyphonic textures. On the same website, listen to the examples of a motet ("Ave Maria, Gratia Plena") and a madrigal ("As Vesta Was Descending"). Step 2 Print out a copy of the lyrics to the Renaissance madrigal by Orlando di Lasso. Madrigal Lyrics.docx or Madrigal Lyrics.pdf Step 3 Listen to the example of a Renaissance madrigal by Orlando di Lasso. Follow along with the lyrics as you listen to the piece. Link (Links to an external site.) Step 4 Listen to Monteverdi's "Lamento della Ninfa" (Links to an external site.) and follow along with the lyrics (Links to an external site.) here. Step 5 Think of a song today that has a similar message to either Monteverdi's madrigal or di Lasso's madrigal, and post a thread about it. You will: 1) Name the title and artist of the song you picked. 2) Paste or embed a YouTube link to the song. 3) Refer to some of the lyrics in your song that have a similar message to one of the madrigals. Disclaimer: The humanities aren't always so reverent, pure, or respectful. Indeed, some of the most interesting works are the most provocative. Don't be afraid to be provocative here, but please do so in a way that will not deliberately alienate or offend your classmates. Also, please understand that some of these videos and songs posted by classmates may contain sensitive topics. .

Renaissance MadrigalsStep 1Click on this link (Links t.docx

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Renaissance History and Religion – Which three (3) historical or cul.docx

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Renal Case Study A 51 year old Caucasian-American female present to the emergency department with a headache of 8 of 10 on a pain scale. She reported the headache as a pulsation in her ear that is typical when her blood pressure rises. She also reported accompanying visual blurring, intermittent chest pressure, non-exertional shortness of breath, and episodic abdominal pain with nausea. She reports not taking her Labetalol. PMH: Type I DM since age 8 with history of impaired renal function that has continued to progress to a chronic stage and hypertension. Family history: Positive for DM, hypertension, CAD and Cancer. SH: Quit tobacco 5 years ago Meds: Labetalol, Lasix 20mg qd prn, Lantus 20 units at hs, Protonix 40mg qd, ASA 81mg qd, and Tylenol prn ROS: Constitutional: Denies fever or chills Eyes: Reports blurred vision, no floaters ENT: Denies sinus pressure or congestion, denies sore throat Respiratory: Denies cough, non-exertional dyspnea reported Cardiovascular: Admits intermittent chest pressure, denies palpitations Physical Exam: General: Alert and oriented in no acute distress Vitals: T 36.7C, BP 193/98, HR-88, Weight 87.5kg Eyes: PERRLA, EOMI, moist mucus membranes Neck: supple, No JVD Lungs: CTA A&P Heart: RRR without MGR Abdomen: soft, non-distended, nromoactive bowel sounds LE: edema to mid-thigh Skin/Integument: no cyanosis or clubbing The patient was admitted for hemodialysis due to her progression of renal functioning but also admitted to control the hypertensive urgency and headache. Question answers should be based on evidence found in readings and from peer-reviewed literature. At least two sources must be used and cited in APA format for each question. Only one source can be a textbook. Resources should generally be within 5 years unless you are explaining the pathophysiology of a disease or providing pertinent background information Discussion Questions: Explain what happens physiologically with chronic renal failure and the GFR. Support with evidence. Include important labs that are monitored in the process. Explain the role of Angiotensin II and proteinuria as they relate to advancing renal disease. List at least three other body systems that are impacted by chronic kidney disease and why. .

Renal Case StudyA 51 year old Caucasian-American female pres.docx

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Removal of cash payments at LOCLBus Ltd. Overview LOCLBus Ltd are a bus operator in the East of England, in the UK. With a fleet size of 60 vehicles, ranging from large minibuses to 60 seater vehicles, they are a well known independent operator in the region, second only to the main contractor, First Group who operate the main local authority contracts in the region. In response to demand from customers and the local authorities who contract LOCLBus to operate key services on their behalf, the management team have decided at a recent board meeting to stop accepting cash payments on all services where customers pay the driver (so not, for instance on school services) and replace cash with card payments and, they hope an App for mobile devices. The board realise this is a huge change for them, as since their inauguration in 1972, the only way they have accepted payment is via cash and it totals £2.7m per year, around 40% of their revenue (the rest being from local authority payments and other commercial contracts). You have been recruited, due to your experience in commercial vehicles, to project manage this process, from fact finding to roll out of the first phase (card payments on vehicles) to the full roll out which will cover Contactless card, Apple Pay and Android payments and their App which will allow customers to buy virtual tickets in advance. The current status is that the project has been discussed, and you have some guidance documents from the board, but nothing has been started yet. You are expected to plan the complete process, and write a discussion report which will go to the board in the form of a 2500 written report and supporting documents outlining the key steps in the project. On your first day in the office, you bring your trusted guide books; Project Management by Harvey Maylor and the PMBOK Guide from the Project Management Institute . You will be referencing these as best practice and anything else you think is suitable in terms of sources. You admit to feeling a little overwhelmed by the new job, but with the tools and techniques you have learnt and guidance from best practice, you think ‘if they sent man to the moon’ you can do anything... Further information and tips to help you complete and create your project plan: LOCLBus plan to buy the equipment, that includes card reader, control system and web based storage and part of the project which will be to source a suitable supplier who will partly define the roll out based on their timelines and experience. A supplier who is of interest to LOCLBus is detailed in Appendix 1 LOCLBus require their own custom mobile app to be developed, this will be branded with the company image and provide fee-free transfer (to the customer) via the different payment methods. They require a plan to be defined, to understand timings and cost for the mobile app development. A quote has been included in Appendix 2 to help you. A Risk register will need to be produced .

Removal of cash payments at LOCLBus Ltd.OverviewLOCLBus Ltd .docx

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Remove or Replace: Header Is Not Doc TitleGoals of Counseling Sessions: Initial Phase, Working Phase, Closing PhaseInitial Phase · History assessment · Gathering clinical information · Identifying information about the client, presenting concerns and level of client distress, history of presenting concern, family background, personal history, previous counseling experience, risk assessment (suicidal or homicidal ideation), clinical impression and/or diagnosis, client’s goals for counseling. · Establish rapport, build therapeutic relationship · Determine risks, benefits, and alternatives · Provide structure to the counseling process · Help clients take initiative in the change process · Develop initial case conceptualizationsWorking Phase · Examine cognitions and thinking patterns · Recognize and explore emotions experienced · Emotional, physical, or a combination, overt, covert, or a combination, positive negative or neutral, in or out of awareness, level of intensity, appropriateness for context and stimulus, congruence, helpful or harmful. · Case notes · Signs and symptoms, topics of discussion, interventions, progress and plans, special issues (STIPS format, from Prieto & Scheel, 2002) · Documentation with high-risk clients (explain how the conclusion was reached, take action, and document the action (R.M. Mitchell, 2007).Closing Phase · End a learning experience properly. · Closing gives clients opportunity to maintain changes achieved in counseling and generalize problem-solving skills to new ones. · Closing serves as a reminder that the client has matured. · Final Assessment: · Has the client achieved behavioral, cognitive, or affective goals? · Has the client developed better coping skills? · Is the counseling relationship no longer helpful? · Has the context of the original counseling relationship changed?). References Mitchell, R. M. (2007). Documentation in counseling records: An overview of ethical, legal, and clinical issues (3rd ed.). Alexandria, VAL American Counseling Association. Newsome, D. W., & Gladding, S.T. (2014). Clinical mental health counseling in community and agency settings, (4th ed.). Boston, MA: Pearson. Prieto, L.R., & Scheel, K.R. (2002). Using case documentation to strengthen trainees’ caseconceptualization skills. Journal of Counseling & Development, 80, 11-21. 1 2 .

Remove or Replace Header Is Not Doc TitleGoals of Counseling Se.docx

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Rem Rem $Header: sh_cremv.sql 01-feb-2001.15:13:21 ahunold Exp $ Rem Rem sh_cremv.sql Rem Rem Copyright (c) Oracle Corporation 2001. All Rights Reserved. Rem Rem NAME Rem sh_cremv.sql - Create materialized views Rem Rem DESCRIPTION Rem SH is the Sales History schema of the Oracle 9i Sample Rem Schemas Rem Rem NOTES Rem Rem Rem MODIFIED (MM/DD/YY) Rem hbaer 01/29/01 - Created Rem ahunold 03/05/01 - no DROPs needed, part of creation script REM AKHTAR 16/03/05 - updated Rem first materialized view; simple aggregate join MV Rem equivalent to example 1 in MV chapter DWG, page 8-11 CREATE MATERIALIZED VIEW cal_month_sales_mv PCTFREE 5 BUILD IMMEDIATE REFRESH FORCE ENABLE QUERY REWRITE AS SELECT t.calendar_month_desc , sum(s.amount_sold) AS Money FROM sales s , times t WHERE s.time_id = t.time_id GROUP BY t.calendar_month_desc; Rem more complex mv with additional key columns to join to other dimensions; CREATE MATERIALIZED VIEW fweek_pscat_sales_mv PCTFREE 5 BUILD IMMEDIATE REFRESH COMPLETE ENABLE QUERY REWRITE AS SELECT t.week_ending_day , p.prod_subcategory , sum(s.amount_sold) AS Money , s.channel_id , s.promo_id FROM sales s , times t , products p WHERE s.time_id = t.time_id AND s.prod_id = p.prod_id GROUP BY t.week_ending_day , p.prod_subcategory , s.channel_id , s.promo_id; CREATE BITMAP INDEX FW_PSC_S_MV_SUBCAT_BIX ON fweek_pscat_sales_mv(prod_subcategory); CREATE BITMAP INDEX FW_PSC_S_MV_CHAN_BIX ON fweek_pscat_sales_mv(channel_id); CREATE BITMAP INDEX FW_PSC_S_MV_PROMO_BIX ON fweek_pscat_sales_mv(promo_id); CREATE BITMAP INDEX FW_PSC_S_MV_WD_BIX ON fweek_pscat_sales_mv(week_ending_day); 19.4. RICHMOND PLANET AND WISCONSIN WEEKLY ADVOCATE, EXCERPTS FROM LETTERS FROM AFRICAN AMERICAN SOLDIERS IN THE PHILIPPINES (1899–1900) Black soldiers serving in the Philippines to put down the insurgency against the United States sent letters to African American newspapers relating their experiences on the islands. Some disheartened soldiers found that the color line extended far beyond the boundaries of the United States, while others saw action in the Philippines as a chance to prove their patriotism and their equality. The first and third letters below were published in the Richmond Planet on December 30, 1899, and December 22, 1900, respectively. The second letter was published in the Milwaukee newspaper Wis- consin Weekly Advocate on May 17, 1900. Dear Mr. Editor: We received copies of the Planet sent to us at this point. You can imagine how much we appreciated them when we had not seen a paper of any kind for weeks, and as for an Afro-American paper, I can not remember when I last laid eyes on one. . . . The whites have begun to establish their diaboli- cal race hatred in all its home rancor in Manila, even endeavo.

RemRem $Header sh_cremv.sql 01-feb-2001.151321 ahunold Exp $.docx

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"Remote Authentication" More companies are allowing users to work from home, which extends a company’s network and introduces new security concerns. Your company has decided to allow employees to work from home two days a week. Your CISO has requested a high-level comparison between RADIUS, TACACS and VPN. How does each of these services leverage Kerberos and the AAA framework? Make a recommendation and justify your answer based on your findings. Make sure to outline any limitations associated with each service Additional post options: What recommendation would you make to secure web authentication when logging into a website? .

Remote AuthenticationMore companies are allowing users to work.docx

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Reminders and Announcements Exam 2 due, Group Formation details due by 2/24Class Assignment 3 on Wednesday on Active-listening skills Presentation 1 Review & Comments next Monday Presentation 2 Details Revisited Lecture Review : Chapter 10 Lecture: Chapter 11Video PresentationIndividual Presentations (last one!) WkTopic/LectureClass ActivitiesLecture7M2/17Consultative Sales PresentationLecture Review Role-Play/Video PresentationChapter 11W2/19ON-LINE (Class Assignment 3)8M2/24Creating Value with Sales DemonstrationLecture Review/Video Case Class ExercisesChapter 12W2/26Negotiating Buyer ConcernsON-LINE (Class Quiz 3)Chapter 139M3/2Confirming PartnershipLecture Review/Video PresentationChapter 14W3/4Presentation 2 preparations10M3/9Presentation 2 W3/11Exam 3ON-LINE (Exam 3)11M3/16Presentation 2 * Name of student Mon 2/17Verduzco,AlondraJackson,Lamia Rodriguez,Amber JeaniceGu,ShanMou, Zheng Doak,Stephanie * The presentation topic you choose will be an actual group (business to business (B2B) sale presentation at the end of the academic term. Form yourself into a group of 5 students. Decide on a particular selling organization and then plan to make a sales presentation based on their products/services. Make sure the company you choose for your sale presentation are into professional selling (have personal selling practices) Do your research and learn about their personal selling practices. Presentation Team listing/choice of selling organization is to be submitted to your professor by Monday 2/24. Students must prepare a 15-20 minutes sales presentation based on a chosen product or service from a personal selling organization of their choice. Students are encouraged to apply as much as possible the approaches, strategies and techniques taught in the course. The effective sales presentation is built with a strategic plan. Every step of the sale, from the approach to servicing the sale, is carefully planned in advance. This presentation will account for 10 percent of your final grade. Your team will be notified on your presentation schedule by your professor. Students preparing for our final sales presentation - You should assume the audience (the class) to be a prospective organizations who are invited to listen to your sales pitch. You must let your professor know some pre-sales presentation information and assumptions for role-playing purposed which will be carried out during your presentation. Type and Profile of corporate buyer/s in the audience for role playing Location and setting of presentation for role playing Any assumptions for role playing You must include price details in your presentation and perform the demo Be prepared to negotiate/handle any sale objections, concerns, resistance Each team will be allowed up to 20 minutes for their sale presentation. Expect 15-20 minutes of Q & A, comments. Be prepared to negotiate/handle any sale objections, concerns,.

Reminders and Announcements Exam 2 due, Group Formation .docx

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Remember: When it comes time to submit Unit 2 Journals, please submit ONE document including all of the Unit 2 Journals. Remember that each journal entry should be 1-page double-spaced (longer is just fine... 1 page represents the minimum)... [You can also submit any journals handwritten - so if you are submitting some entries handwritten, just note that on your uploaded journal document]. Use the questions below to focus your journals on analyzing and applying what was most relevant for you in terms of your own intercultural relations, growth, and learning. 1 - Redundancia (double-verb language) activity reaction and reflection 2 - Low-Context communication examples (photos) and explanation (take at least 2-3 photos of low context communication messages you encounter "out there" in your world (at school, work, stores, bus stops, gas stations, on the street, etc...). Include your images with captions indicating the location description, as well as your own explanation and thoughts about low context communication. Be sure to include your 2 photos in your journal entry. 3 - Unit 2 Reading Reaction – Write a reaction to your chosen reading for this unit… what you found most interesting, how you see the ideas in the reading relating to class concepts, how you would apply ideas from the reading in real life, etc. The readings are posted under "Course Materials" on BB as pdfs. Just choose ONE to read based on your personal interest and write a 1-page journal reaction to the reading 4 - Toothpicks communication styles activity reaction and reflection 5 - Application of the COM Styles Descriptor Checklist to a communication experience you had (we did this in class to 'My Big Fat Greek Wedding.' Pick an experience you have had and apply 3 or more specific items from the Descriptor Checklist to your experience). Explain your experience in detail and your analysis of the interaction - and why there was a ‘disconnect’ or communication barrier based on communication style differences. .

Remember When it comes time to submit Unit 2 Journals, please s.docx

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Remember to use the same brick and mortar business or organization you selected in week one. (attached) Choose one of the three critical events listed below that would affect communication within your selected Virtual Organization: Leadership change, such as a change in the chief executive officer or superintendent, political change, or major changes in management department heads Reorganization such as a merger or takeover; change in community or industry image or stature; gaining or losing accreditation; political change; or major employment changes such as outsourcing, layoffs, expansion, and foreign labor Crisis within an industry Business: ethical violations, technological malfunction, major financial loss Schools: change in stature, ethical violations, violence, major gang or drug incident Health care: wrongful death, medication error, ethics violation Government: mismanagement of funds, ethical violations, lack of response or preparedness, conflicting parties Note. You must use your chosen critical event in all subsequent weekly assignments. Write a 1,150- to 1,400-word paper. Select a real world organization that is similar to your selected organization that encountered a similar crisis. Describe how the real-world company/organization managed its crisis. Define each of the following concepts. Then explain how each would affect your organization 'during a crisis. Interpersonal communication ethics Perceptions of power Communication during conflict Intercultural and diversity conflict Communication climate Identify and describe two communication theories that would be relevant to your organization during its crisis. Explain how each one ties-in to your organization. Describe what communication strategies would be most effective to overcome the negative consequences of the crisis and turn the situation into a positive outcome. Include a minimum six sources, of which four are academic sources. Consider using textbooks/resources that you have used in your degree program. Most textbooks are not academic sources because they are not peer-reviewed. Format your assignment according to appropriate course-level APA guidelines. .

Remember to use the same brick and mortar business or organization y.docx

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Remember to support your answers with at least 2 referencesa.docx

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***Remember to include a definition for the concept you chose and also include an image of your map in the body of your first post (in addition to the link) Please select a concept from the following list: Agricultural Revolution, Green revolution, Subsistence agriculture, Commercial agriculture, Slash-and-burn agriculture, Sustainable agriculture, Bulk_gaining industry, Bulk_reducing industry, Cottage industry, Fordist production, Industrial revolution, Just-in time delivery, Outsourcing, Right-to-work law, Central place theory, Consumer service, Hinterland, Primate city, Urbanization. Refer to Map in the News Directions and Rubric under --> Assignment Directions. 1) Find a current event in the news that relates directly to your selected topic within a geography framework. the news article cannot be older than 6 months and it MUST show a map. 2) Cite your news source in APA format, including a link to the article. 3) Summarize what you learned from the news article and how it relates to your selected topic. 4) Post this summary directly into the discussion thread using copy and paste. .

Remember to include a definition for the concept you chose and .docx

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